COLIN PENN (NPI# 1689900375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689900375 |
| Entity Type | Individual |
| Full Name | COLIN PENN |
| Credential | PA-C |
| Practice Address |
25 W Crystal Lake St Ste 200 Orlando FL 32806-4475 |
| Practice Telephone | 4072542500 |
| Practice Fax Number | 4074232789 |
| Mailing Telephone | 4072542500 |
| Mailing Fax Number | 4074232789 |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2015-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9015099 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
9105099 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001514400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932656824 | Colin E Penn | Physical Therapist | 625 Enterprise Dr, Oak Brook, IL 60523-8813 | 2016-09-08 |
| Street Address |
25 W CRYSTAL LAKE ST STE 200 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-4475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063483980 | Jeffrey Peter Rosen | Orthopaedic Surgery | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2006-01-30 |
| 1144830860 | Ramona Melissa Sweat | Physical Therapy Assistant | 25 W Crystal Lake St, Orlando, FL 32806-4475 | 2020-08-06 |
| 1184242943 | Carlomario Arrascue | Specialist/Technologist | 25 W Crystal Lake St, Orlando, FL 32806-4475 | 2020-07-08 |
| 1003438458 | Francesca Marie Lavezzoli-nelson | Specialist/Technologist | 25 W Crystal Lake St, Orlando, FL 32806-4475 | 2020-05-08 |
| 1326519067 | Paul Graham Jr. | Physical Therapy Assistant | 25 W Crystal Lake St, Orlando, FL 32806-4475 | 2018-12-06 |
| 1740739895 | Zachary A Rogan | Physician Assistant | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2016-09-30 |
| 1942668181 | Sarah Baller | Specialist/Technologist | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2016-02-02 |
| 1821461542 | Andrew Beverly | Physician Assistant | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2015-11-03 |
| 1437575875 | Audra Jourdan | Specialist/Technologist | 25 W Crystal Lake St, #200, Orlando, FL 32806-4475 | 2014-03-10 |
| 1972946515 | Sarah R Earleywine | Specialist/Technologist | 25 W Crystal Lake St, #200, Orlando, FL 32806-4475 | 2013-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1609473594 | Arianna Piza Cueva | Physician Assistant | 1617 Lake Baldwin Ln, Orlando, FL 32814-6745 | 2020-10-05 |
| 1679189153 | Lynnzie Marie Kipp | Physician Assistant | 6427 Westwood Blvd Unit 100, Orlando, FL 32821-8311 | 2020-09-20 |
| 1396368189 | Katharine Mcmanus | Physician Assistant | 6137 Jibway Ct, Orlando, FL 32807-2909 | 2020-05-27 |
| 1124651328 | Kayleigh E Hunt | Physician Assistant | 86 W Copeland Dr, Orlando, FL 32806-2002 | 2020-02-16 |
| 1326679093 | Hae Jeung | Physician Assistant | 1713 Circe Lake Ct, Orlando, FL 32826-4645 | 2020-01-30 |
| 1902445844 | Christina Pagan | Physician Assistant | 2014 S Orange Ave # 200b, Orlando, FL 32806-3069 | 2019-12-23 |
| 1154969335 | Shahed Hmeidan | Physician Assistant | 2624 Clementon Park Ct, Orlando, FL 32835-6160 | 2019-12-18 |
| 1609414143 | Amber Grimm | Physician Assistant | 2144 Bristol Grande Way, Orlando, FL 32820-2781 | 2019-12-16 |
| 1255976213 | Katherine Mary Vanhove | Physician Assistant | 1310 E Esther St, Orlando, FL 32806-4128 | 2019-11-14 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.